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South Umpqua Family Dental PC — NPI 1659675338, Riddle, OR | NPI Central

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NPI 1659675338

OrganizationActive

South Umpqua Family Dental PC

NPI 1659675338 · Dentist · Riddle, OR

Provider details

NPI number: 1659675338
Entity type: Organization
Primary specialty: DentistDental Providers
Organization subpart: No
Authorized official: Eric Cornelius, President/Secretary(541) 874-3126
License: D9281 (OR)

Specialties & taxonomies

DentistPrimary122300000XLicense D9281 (OR)
Dental Providers

Practice location

150 Main Street

Riddle, OR 97469-0107

Phone: (541) 874-3126

Fax: (541) 874-3259

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

Po Box 107

Riddle, OR 97469-0107

Registry dates

Enumerated: 2011-01-10
Last updated: 2011-01-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.